Susanne Pauline Chirco, MS, CRC, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

795 Holly LN
Waverly, TN 37185-3392

Phone

(931) 296-9813

NPI assigned

Jan 28, 2020

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1306477476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 HOLLY LN",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853392",
            "telephone_number": "931-296-9813",
            "fax_number": "931-295-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 HOLLY LN",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853392",
            "telephone_number": "931-296-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRCO",
        "first_name": "SUSANNE",
        "middle_name": "PAULINE",
        "credential": "MS, CRC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "TN-062",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "CRC0024686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Brasher-Tucker
• Wayland Alva Brooks, D.C.
• Steve David Capel, PT
• Alana K. Carmical, RN
• Monica Cathey, DPT
• Chiropractic Brings Life
• Barbara Ann Chronister, PHARMD
• Melissa Darlene Clark, LPN
• Nicole A Coffman-Cole, DC
• Alexandria Lynnly Cole, APRN

• Counselor in Waverly, TN
• Providers in Waverly, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.